Information Collection Request

In-Vehicle Drowsiness Detection and Alerting

ICR 201811-2127-002 · OMB 2127-0736 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 1445 Testing Form and Instruction New Available
Form 1443 Screening Form and Instruction New Available
Form 1441 Qualification Form and Instruction New Available
IVDDA_AppA_Justification for forms_v10_7_18_18.docx Supplementary Document Uploaded 2018-11-07 Available
IVDDA_Part B_for_OMB.docx Supporting Statement B Uploaded 2018-11-05 Available
IVDDA_Part A_for_OMB.docx Supporting Statement A Uploaded 2018-11-05 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
233911 Testing Form and Instruction New
233910 Screening Form and Instruction New
233908 Qualification Form and Instruction New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
05/31/2022 36 Months From Approved
280 0 0
828 0 0
22,277 0 0





Reginfo record details
3
table that charts list of burden
IC Title Form No. Form Name
Qualification 1441 Screening Procedures
Screening 1444, 1443 Informed Consent ,   Wellness Survey
Testing 1446, 1447, 1448, 1449B, 1449C, 1445, 1449A Activity Log ,   Sleep Questionnaire ,   Stanford Sleepiness Scale ,   Drive Break Survey ,   Post Drive Survey (Baseline) ,   Post Drive Survey (Lane Departure Warning) ,   Post Drive Survey (Drowsiness Mitigation and Lane Departure Warning)

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 280 0 0 280 0 0
Annual Time Burden (Hours) 828 0 0 828 0 0
Annual Cost Burden (Dollars) 22,277 0 0 22,277 0 0


Reginfo record details
  No